Obstetrics and Gynecology

Regional Health physicians in Rapid City and Spearfish deliver over 2,700 babies a year – more than any other provider in western South Dakota. Our board-certified obstetricians in Spearfish specialize in pregnancy, childbirth and female reproductive systems. They’ll take care of you throughout your pregnancy and provide follow-up care for years to come.

Prenatal Care

From the moment you learn you’re pregnant, our team will ensure you and your baby receive the best possible care. Prenatal care is offered at most of our medical clinics, and we deliver babies in Rapid City and Spearfish.

We offer a full range of prenatal and obstetrical services, including:

  • Your choice of obstetrician or family doctor
  • Regular prenatal care, including ultrasound
  • Prenatal classes
  • Vaginal birth after cesarean (VBAC)
  • Breastfeeding support from certified lactation consultants

Specialty services are available if needed, including:

  • State-of-the-art Neonatal Intensive Care Unit for premature and ill newborns
  • A Children’s Miracle Network Hospital® helping families of sick and injured children with meals, lodging, travel, respite care, emergency and other needs

Infertility

Infertility can be extremely trying for women and their partners. Regional Health providers offer basic fertility evaluations and treatments to meet your needs. Couples can seek help anytime they are worried about their ability to conceive, but we recommend seeking help if:

  • The couple has been trying to get pregnant for one year and the woman is under the age of 35.
  • The woman is over the age of 35 and the couple has been trying to get pregnant for at least six months.
  • The woman has a history of pelvic infection, endometriosis or irregular cycles.

 Fertility services are offered in Spearfish, and include:

  • Evaluation of couples seeking pregnancy
  • Ovulation induction
  • Insemination using the male partner’s sperm or anonymous donor sperm
  • Fertility preservation

Labor and Delivery

When you arrive at the hospital in Rapid City or Spearfish, you should check in at the emergency department. Please take time to familiarize yourself with the emergency department entrance and parking before your big day.

Once you check in, emergency department caregivers will call your care team to inform them of your arrival. You will be escorted to labor and delivery and will complete your registration at your bedside. Your nurse will ask you some questions that will help us assess whether you need to be admitted for labor.

Other assessments may include:

  • Monitoring your baby’s heart rate
  • Notifying the physician or midwife
  • Obtaining orders for care which can include an IV, medications and tests

Our registered nurses are here to support your desires during your special day. We will keep you informed and provide comfort measures throughout your birthing experience. We provide peanut balls for comfort, and can assist with position changes to promote labor progression. For specific birth preferences, please provide us with a copy of a birth preferences worksheet when you are admitted to the hospital.

We will ask if you would like us to place your newborn on your chest immediately after delivery. Placing your newborn with his or her skin touching yours helps with transition to life outside the womb. We encourage skin-to-skin contact throughout your stay to promote your newborn’s warmth, emotional well-being and parental bonding. Fathers are also encouraged to perform skin-to-skin contact with their newborn.

Birthing Center Services

Childbirth Education & Lactation Support
Being prepared for your new arrival is a mental and physical challenge. Regional Health offers several classes for expectant parents to prepare for the big day and every day after.

Birth Preference Worksheet
We want to honor your birth preferences to the best of our abilities while ensuring safety for you and your baby. Our birth preferences worksheet can help guide you in choosing options for your birth experience. It is recommended that you discuss your preferences with your obstetric provider prior to your special day. Here is the link to our birth preferences worksheet.

Tours
Tours of our birthing suites occur during childbirth preparation classes. You can also schedule a separate tour with our labor and delivery unit.

Regional Health Rapid City Hospital Map

Labor and delivery services are available in Rapid City and Spearfish.

High-Risk Pregnancies

Many women with high-risk pregnancies are referred to Rapid City Hospital to consult with obstetricians and neonatologists. Babies delivered at Rapid City Hospital are immediately evaluated in the NICU. Critically ill newborns from other hospitals are frequently transferred to Rapid City Hospital by our Neonatal Transport Team.

Neonatal Transport Team

The Neonatal Transport Team consists of registered nurses, neonatal nurse practitioners and respiratory therapists specially trained in the stabilization, management and transport of ill and premature newborns by ambulance or airplane. The transport team is available 24 hours a day, 7 days a week to transport your baby to the NICU at Rapid City Hospital. In the instance your baby needs care that Rapid City Hospital cannot provide, the transport team will safely transport your baby to a hospital that can provide the required care.

Lactation Services

Lactation Consultants in Rapid City and Spearfish consist of registered nurses who are International Board Certified Lactation Consultants (IBCLC). Lactation consultants provide education and support for parents who choose to breastfeed their infant(s). Achieving IBCLC status requires specialty education and extensive practical experience working with breastfeeding mothers before taking and successfully passing a university-level certification exam. Regional Health’s standard of providing lactation consultants with IBCLC status assures you will have the highest level of expertise available.

In Rapid City:

Lactation Services in the Regional Health Rapid City Hospital offers inpatient services Monday-Saturday from 8:00 a.m.-4:00 p.m., and outpatient services Monday-Thursday 8 a.m. to 4 p.m., Call 605-755-8494 if you have questions or need further information.

In Spearfish:

Lactation consultants are available at Spearfish Hospital Monday-Friday 8 a.m. to 3 p.m. Call 605-644-4319 to make an appointment.

What We Provide

  • A breastfeeding course for expectant mothers
  • Instruction and support following delivery
  • Breastfeeding support for infants in the Neonatal Intensive Care Unit
  • Assistance for breastfeeding mothers during any hospitalization
  • Resources and information on breast pumps and breastfeeding accessories
  • Education and support for health care providers
  • Outpatient services for breastfeeding support after discharge from the hospital

Benefits of Breastfeeding

The American Academy of Pediatrics stated in its 1997 policy statement on breastfeeding that “Human milk is uniquely superior for infant feeding and is species-specific; all substitute feeding options differ markedly from it. The breastfed infant is the reference or normative model against which all alternative feeding methods must be measured with regard to growth, health, development and all other short- and long-term outcomes.”

Benefits to infants:

  • Protective effects against or decreased incidence and/or severity of:
    • Diarrhea
    • Lower respiratory infections (i.e. RSV)
    • Otitis media (middle ear infections)
    • Bacteremia (bacterial infection in the blood)
    • Botulism (a severe form of food poisoning)
    • Urinary tract infections
    • Bacterial meningitis
    • Diabetes
    • Necrotizing enterocolitis (severe bowel infection usually found in premature infants)
    • Sudden Infant Death Syndrome (SIDS)
    • Crohn’s disease (an inflammatory bowel disease)
    • Ulcerative colitis (chronic digestive disease)
    • Lymphoma and other childhood cancers
    • Allergies
    • Metabolic diseases
    • Childhood obesity
  • Enhanced immune response to vaccines
  • Enhanced cognitive development – hight IQ scores (an average of 8.5 points higher)
  • Fewer cavities, better jaw development, and fewer orthodontic problems later in life, according to the American Dental Association.

Benefits to mothers:

  • Less uterine bleeding after birth
  • Delayed resumption of ovulation and optimal child spacing
  • Protection against postmenopausal osteoporosis (i.e. hip fractures)
  • Decreased risk of ovarian and breast cancer
  • Assistance with weight loss after birth
  • Improved glucose metabolism and reduced insulin requirements for diabetic mothers

Gynecology

Gynecologic problems can surface at any age. Whether you’re experiencing abnormal bleeding, urinary incontinence, or want to talk about birth control options, our board-certified primary care and obstetrics/gynecology physicians will provide an individualized care plan specific to your needs. Services include:

  • Birth control management
  • Routine exams
  • Abnormal bleeding
  • Endometriosis
  • Vulvar pain or lesions
  • Chronic pelvic pain
  • Urinary conditions and incontinence
  • Uterine prolapse
  • Vaginal discharge
  • Cancers including ovarian, cervical and uterine
  • Sexual Health
  • Minimally invasive surgery

Birth Control Management

Birth control methods include medications, procedures, devices and behaviors. Some methods require an exam by your primary care provider or gynecologist, and can include a prescription, an insertion, or possibly surgery. Birth control plans vary depending on each patient’s specific needs and wishes.

Routine Exams

Regional Health providers recommend that women receive routine breast and pelvic exams. Consult your primary care provider to find out how often you should undergo a pelvic exam or a Pap smear. Depending on several different factors, such as general health or sexual history, some women may require more frequent exams.